Roux-en-Y gastric bypass – laparoscopic surgery – Anesthesia

To prepare you for surgery, a nurse will place an IV line in your arm. You may receive fluids and medicines through this line during the procedure. The doctor will place a breathing tube through your mouth and into your throat. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.

Your doctor will make several small cuts in the abdomen. Gas will be pumped in to inflate your abdomen. This will make it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor.

Your doctor will use surgical staples to create a small pouch at the top of your stomach. This pouch, which can hold about one cup of food, will be your new, smaller stomach. A normal stomach can hold 4-6 cups of food.

Next, the doctor will cut the small intestine and attach it to the new pouch. With the intestinal bypass, food will now move from the new stomach pouch to the middle section of the small intestine. It will skip the lower stomach and the upper section of the small intestine.

Finally, the upper section of the small intestine will be attached to the middle section of the small intestine. This will allow fluid that the lower stomach makes to move down the upper section of the small intestine and into the middle section.

Once the bypass is completed, the incisions will be closed with staples or stitches.

Be aware that in some cases, the doctor may need to switch to an open surgery. During an open surgery, she will make a larger cut in the abdomen to do the surgery.

Roux-en-Y gastric bypass – laparoscopic surgery – After Procedure

You will be taken to the recovery area for monitoring. You will also be given pain medicine.

Roux-en-Y gastric bypass – laparoscopic surgery – How Long Will It Take?

About two hours

Roux-en-Y gastric bypass – laparoscopic surgery – How Much Will It Hurt?

Anesthesia prevents pain during surgery.

Patients experience pain and/or soreness at the incision sites during recovery. Your doctor can prescribe medicine to relieve the pain.